| NPI | 1518550391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: VA 2635) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MD t24185) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-02-12 |